Individual provider Active NPI

Garth Chad Nelson, M.D.

  • Orthopaedic Surgery Physician
  • Fort Collins, CO
National Provider Identifier
1356394746
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
38826 Issued in CO
Practice address
1020 Luke St
Fort Collins, CO 80524-4016
Phone
(970) 493-2102
Fax
(970) 493-9035
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 38826 CO Primary

Addresses

Primary practice location

1020 Luke St
Fort Collins, CO 80524-4016

Mailing address

1020 Luke St
Fort Collins, CO 80524-4016
Phone (970) 493-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000269 CO Practitioner - Orthopedic Surgery 1052436193 Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38826COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garth C. Nelson, M.D. Orthopaedic Surgery PastSince Jun 1, 1994 Accepting new patients
Performance Physical Therapy & Rehabilitation , PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1356394746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LUKE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244016",
            "telephone_number": "970-493-2102",
            "fax_number": "970-493-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LUKE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244016",
            "telephone_number": "970-493-2102",
            "fax_number": "970-493-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GARTH",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "38826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.